Raymond A Bodensieck, PSYD PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

010453-1 Issued in NY

Practice address

1 West Ave Ste 230
Saratoga Springs, NY 12866-6050

Phone

(518) 583-5300

Fax

(518) 583-7990

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raymond a. Bodenseick Psy.D. PLLC

  • Clinical Psychologist
  • Clifton Park, NY
  • NPI 1508195421
  NPD (past) Authorized official
• Karner Psychological Associates PC

  • Psychologist
  • Guilderland, NY
  • NPI 1619913258
  NPD (past)
• Naval Health Clinic New England

  • Military/U.S. Coast Guard Pharmacy
  • Saratoga Springs, NY
  • NPI 1154420438
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1528156759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 PLANK RD STE 201",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654881",
            "telephone_number": "518-383-7793",
            "fax_number": "518-383-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST AVE STE 230",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666050",
            "telephone_number": "518-583-5300",
            "fax_number": "518-583-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENSIECK",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010453-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Blood, RD, CDE
• Robin J Blostein, LCSWR
• Timothy Gerard Board, PA
• Constance A. Boardman, LCSW-R
• Katja Elizabeth Bock, MD
• Benjamin Boese, LMSW
• Katlyn Boghosian
• Elizabeth Bogovich, RN, FNP-BC
• Chelsea M Bolles, LMHC
• Steven Bombard, PHARMD

• Psychologist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.